Patient Access Specialist — PRN Data & Insurance Champion

CHRISTUS Health; Canton (TX); On-site; USD 21,000 - 32,000; Full time

Job summary

CHRISTUS Health in United States is seeking a PRN Patient Access Representative to facilitate welcoming access, establish encounters, and collect accurate demographic and financial data for each encounter.

Responsibilities include verifying insurance, obtaining authorizations, calculating patient portions, ensuring regulatory compliance, maintaining confidentiality, and supporting a flexible, team-oriented workflow in a hospital setting.

Qualifications

• High School Diploma or equivalent experience preferred.
• 1-3 years of experience preferred.

Responsibilities

• Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
• Verifies insurance eligibility and obtains necessary authorizations for services rendered.
• Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.
• Performs financial assessment for appropriate program assistance.
• Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.
• Represents the Patient Access department in a professional, courteous manner at ALL times.
• Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital.
• Maintains the team discipline of following all elements of established standard processes.
• Coordinates, communicates, and assists in monitoring work flow and work tasks necessary to manage fluctuating volumes.
• Provides feedback to the team to help identify educational needs, and mediation needs by reporting IPOs (issues, problems, and opportunities).
• Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department.
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique needs of each member served.
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Performs other duties as assigned.

Skills

1-3 years experience

Education

High School Diploma or equivalent

Job description

CHRISTUS Health in United States is seeking a PRN Patient Access Representative to facilitate welcoming access, establish encounters, and collect accurate demographic and financial data for each encounter.

Responsibilities include verifying insurance, obtaining authorizations, calculating patient portions, ensuring regulatory compliance, maintaining confidentiality, and supporting a flexible, team-oriented workflow in a hospital setting.